Mr Ronald Redoblado, DDS in Azusa, CA - Medicare Dentist Provider

Mr Ronald Redoblado, DDS is a medicare enrolled "Dentist - General Practice" provider in Azusa, California. His current practice location is 29 Mountain Laurel Way, Azusa, California. You can reach out to his office (for appointments etc.) via phone at (626) 905-9501.

Mr Ronald Redoblado is licensed to practice in California (license number 51642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336204866.

Contact Information

	Mr Ronald Redoblado, DDS
	29 Mountain Laurel Way, Azusa, CA 91702-6265
	(626) 905-9501
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ronald Redoblado
Gender	Male
Speciality	Dentist - General Practice
Location	29 Mountain Laurel Way, Azusa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336204866
Provider Enumeration Date: 12/26/2006
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 3971886466
Enrollment ID: I20190620002419

Medical Identifiers

Medical identifiers for Mr Ronald Redoblado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336204866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	51642 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ronald Redoblado allows following entities to bill medicare on his behalf.

Entity Name	Queenscare Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093886251 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ronald Redoblado is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Ronald Redoblado, DDS 29 Mountain Laurel Way, Azusa, CA 91702-6265 Ph: () -	Mr Ronald Redoblado, DDS 29 Mountain Laurel Way, Azusa, CA 91702-6265 Ph: (626) 905-9501

Reviews and Comments

Dentist in Azusa, CA

Dr. Peter Luu, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 706 N Azusa Ave, Azusa, CA 91702 Phone: 626-334-7310
Dr. Angela Hoffman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 483 S Citrus Ave, Azusa, CA 91702 Phone: 626-966-3400
James D Ahn, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728
Mr. Jean Maroun Kattar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1141 E Alosta Ave, Azusa, CA 91702 Phone: 626-335-8000 Fax: 626-335-1333
Dr. Armando J Islas, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 613 N Azusa Ave, Suite A, Azusa, CA 91702 Phone: 949-981-3515
Dr. Weizhong Su, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5567 N Azusa Ave, Azusa, CA 91702 Phone: 626-969-7717 Fax: 626-633-0800

Mr Ronald Redoblado, DDS - Medicare Dentist in Azusa, CA